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20000357.pdfDATE 21111111 00 PERMIT EXPIRES CITY OF EDMONDS ZONE c c PERMIT NUMBER Z 0 4) &Y7 CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SUITFJAPTN OWNER NAMENAME OF BUSINESS t4C7Uyj51.j C 0<:, LID NO. PLAT NAMEISUBDIVISION NO. NcL MAILING ADDRESS LID FEE $ T­pA,,­ 0 Z-34-7-1 H--Y 9y PUBLIC RIGHT OF WAY PER OFlICIAl STREET MAP P.___ P.­.�. EXISTING 0 CITY ZIP — PROPOSED— ...... ... 0 ITELEPHONE g, goo -Z, REOUISED DEDICATION— ';TSTER FT 0 SIZE LINS SIZE NO� OF FIXTURES V PEOUIRED NAME I I SO NO 0 YSP 'ADDRESS A MARKS OWNERICONTRACTOR RESPONSIBLE INAGE FOR EROSION CONTROUDRAINAGE CITY NAME ENGINEERING 11 AEVtWEDjATE — ADDRESS ; FAR! REVIFYIEDBY DATE CITY 0 1 .. f I * , . - - - -j z '3 1� VARIANCE OR CU SHORELINE OR ADBN IN OYES ONO D STATE LIC9NS NUMBER EXPIRATION DATE _ _ 4w(� _LCHECKEDBY '10,� , p ITC — SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARC L NO. 15'74o)- oc�)O- d�'7B- 0/4P9 SXP I I I NEW RESIDENTIAL 0 PLUMBING / NEON 0 LOT COVERAGE ALLOWED PROPOSED D SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT URSIDS REAR 0 ADDITION CHANGE OF USE L)A COMMERCIAL 0 CONIPL ANCE 08 1 1 - /1) I AREA A ED ly I 0 REMODEL APARTMENT 0 SIGN 0 0 A.PARKING 1 PR2�P,D �l GRADING F NICE 0 REPAIR 0 CYGS 0 (E_ X — FT) REMARKS E] DEMOLISH 0 TANK o GARAGET R TAINING WALL RENEWAL CARPOA OC ly _0 1:1 RE (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHECKED By ITYPE —OFCON1.3TRUCTION C,71 OCCUPA GROUP NUMBER NUMBER OF OF DWELLING C STORIES UNIT. CA AREA'S NUM BEA SpEclj��J�!PECTOqAREA REQUIR C3 YES OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER U.C: 1081FINAL INSPECTION RED' )n ............. . . VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING -A _T LOT SLOPE V, BUILDING PLAN CHECK NO: VESTEDDATE PLUMBING om - ) 2-D MECHANICAL WORK THIS PERMIT AUTHORIZES ONLY THEW RKNOTED To 0 C6MTHjASUpERMNlToCDVHEEAS ST CTIO N P C t BE DONE ON PRIVATE PROPERTY ONLY. ANY U U GRADINGIFILL EOB . DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAROUEES, ETC.) WILLA UIRE :3 SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 180DAYS PERMIT LIMIT'. I YEAR . PROVIDED WORK is STARTED WITHIN 100 DAYS ENG. REVIEW FEES SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION — O"HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE t- IN WTEFE, REES 0 INDEMNI�, DEFEND AND HOLD HARMLE5b [HE QIl Y F ITS OFFICA�. EMPLOYEES, AND AGENTS FROM ANY AND (A) EDMONDS. WASHINGTON, AULCLAIMS FOR DAMAGESOFWHATEVER NATUR ARISING DIRECTLY OR INDIRECTLY PERMIT $HALL NOT BE RECEIPT IZ:;o T �0, 'L FRO THE ISSUANCE OF THIS PERMIT. ISSUANEC'E OF THIS PEEM MODIFY, WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANC I! ED N ANYWAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION' NIRLIMITTOI PLAN CHECK DEPOSIT RECEIP 0 U T TAL AMOUNT DUE 63- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL C DULY AU THORIZED AGENT OF GIVEN IS CORSE T. A 0 THAT I AM THE OWNER, OR THE IWS REGULATING THE No CITY AND STATE LA CONSTRUC. CALL Thil APP11-11111 I,— , p­il Ullil lIg-d by th, F111 Ild OWNER. I AGREE COMPLY WITH TION; AND IN DOING THE WORK AUTHORIZED THEREBY, OPER NWILLSSEMPLOYED N TO FOR INSPECTION BlildImp Offilial or hi —I Doplty. :�d 11 p1ld, _ F.. 1-ld- faceipt is ackn-lodg OF WASHSO IN VIOLATION OF THE LABOR CODE OF THE STATE INGTON RELATING WORKMEN'S COMPENSATION INSURANCE AND ACW 1827. OFFICIALS SIGNATURE DATE SIGNATURV,% OWNE.4CL DAITI SIGNED (425) 1, --)/I ij "— -101 IL 771-0220 RELEA By DAI 44� ATTENTION EXT 333 LD IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 5198 z m ma 0 80 c MT ID -i 011 m M 0 o C CID ;_, 0) M C) g) z m FINAL EROJECT APPROVAL EORM TO: -DATE:2-14144CO MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: _FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE- LANNING DIVISION DATE— PROJEC ^lL zz SITE ADDRESS--g PERMIT #_2:=_��ADB#—DATE INSPECTED—, DESCRIPTION OF WORK TO BE INSPECTED — A field inspection was conducted to determine compliance with approved plans. Final approval, denotes that there are no objections from the above signed Department to the granting of inal approval of the described work _Performance Bonds associated with the project may be released _GRANT FINAL PROJECT APPROVAL _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED I AILED FINAL INSPECTION - OUTSTANDING ISSUES I 2. 3. _RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:tcmp-.bldg:forxns6/98 z 2 0 M M M 0 0 0 M JD --i C —Z 0 n M M a Y) 0 0 F; C (n 90) Q 0 z z -4 X 0) z 0 4 0 M low) RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ............. FOUNDATION: Footing.................... Wall .......................... Pier/Porch ................. Retainlrig Wall .......... -4 Slab Insulation PLUMBING: Underground ............. 0 M Rough -in ................... C in, 0 Commercial Final C)� oc� HEATING: 3: M, ITI M Gas Test .............. Gas Piping .................. . Equipment ................. Commercial Figal-a; -4 IT! EXTERIOR SHEATHING M — 00) NAILING ....................... 0 0 FRAMING ................. ca, FIRST FLOOR FRAMING... ITI INSULATION ............ Floor insulation Wall Insulation z Ceiling insulation SHEETROCK NAILING Z: 0 SPECIAL INSPECTION O� M MISCELLANEOUS .......... FINAL APPROVAL FOR Z -Ok OCCUPANCY .................. 7.1 pet" C) 104, y" Y4TI RECEIVED ER PERMIT EXPIRES ME PERMIT CITY OF EDMONDS ONE ZONE NUMBER ZQIO-'-�97v- CONSTRUCtION PERMIT APPLICATION C. SUITEIAPT# 'AOURESS DUR LE OWNER NAMEINAMEOF BUSINESS Jje�Uy'j5ii� C";c- P__ FLAT NAMEISUBDIVISION NO, LeNG. LID NO. A LID FEE S MAILING ADDRESS Z-34-Z'3. H-y 99 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 1 P.- ftq� 0 CITY ZIP EXISTING- PROPOSED- A 1- ITELIPHONE oeozb 4-7- 3870 REQUIRED DEDICATION- FT METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED C NAME 0 0 0 NO 0 ADDRESS jYES REMARKS Tj OWNER/CONTRACTOR R a CN 'i i66 CITY ZIP ITEIEPHONE NAME REV7WEDZATE ADDRESS�l� DATE PIPE Rt�' z CITY I TELEPHONE (-TC3 "13 -01 -EXPIRATION CAT VARIANCE OR CU SHORELINE OR ADBIf INSFe� REDD BOND POSTED - 0 STATE LICENSE NUMBER cc) 0 YES ONO 0 - � I- SERA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED �n 'R 0 - 47-W- 0160� El EXP , LOT C VERAGE REQUIRED SETBACKS PROPOS 0 ETBACKS RIFT) am NEW 0 RESMENTIA '..IN. 'ME.- PLUMBING I MECH A ALLOWED PROPOSED FRONT SIDE REAVR FRONFURSIDE REAR 0 AUDITION IR COMMERCIAL C MIPLIANCEOR CHANGE OF USE 0 c: PARKING LOTAREA P R 10 By E E CEL R Mo C] APARTMENT SIGN R I PR?DED r-1 REPAIR 0 �R`DN- Cy.. 0 X ITI z n DEMOLISH 0 TANK > AGE R m RE MINING WALL 0 RENEWAL CARPORT L-I ROCKER cl) r (TYPE OF USE. BUSINESS OR ACT ITY) EXPLA- CHECKED BY TYPE OF CONSTRUC ION TYPE OF CON' C7 0 -n A FrAl L- GROUP 1 NUMBER ER OF CRITICAL vi ) SPECIAL INSPECTOR AREA AREA rn m OF DWELLIN I AREAS NUMBER REQUIRED E] YES ra STORIES F.EMARK. US T E 4 a7,-k,tiq :w C!; REMARKS INSPECTION RECI D 5 Fn a to PROGRESS INSPECTIONS PER UBC 1081FINAL P.�.... NSPECT'o cn gn E44 oul de 0'r - 0 A= e7re I- alazee . .......... . S" A,4* Vill, z VALUATION 4. FEE co PL,AN CHECK FEE z HEAT SOURCE GLAZING % LOT SLOPE I PLAN CHECK NO: DATE PLUMBING m 07) )2-,o MECHANICAL T THIS PERMIT AUTHORIZES ONLY THE WORK NOTED� THIS PERMIT COVERS WORK TO H' PE MIT ALT HO UES BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC BE DON 0 P GRADING/FILL IS ' VEWA" ' MARQUEES' ETC I WILL 'EOU'RE DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REOUtRE ----------- SEPARATE PERMISSION. STATE SURCHARGE N -A. PER.ITAPPLWAIRDN V)I).AlE t YE W R Y B A. PERMIT UMIT�. 1 YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS ENO. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION C ENG, INSPECTION FEE bo PO-EE HEIRS ASSIGN. AN. EU-CE.-A. 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS NT I E. T T OF IN NTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 0 1 BEN'S FROM ANY AN. EDMONDS� WASHINGTON, ITS OPFiCIALS, EMPLOYEES, AND AGENTS FROM ANY AND A U E A - N B , OR 'NG".TLY R T R P, I . "I CTLY AULCI-AIMS FOR DAMAGES OF WHATEVER,NATURE� A ISINGO--- . ..... - --L NOT BE IS T R /S,3 77) -00 o' F S E 0 , M T S LL FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OFITHIS PERMIT SHALL E To, NY C 'Y T NO., Y W E E AN, RE.U'FEM N A I ORDINANCE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENTOF ANYCITY ORDINANCE PLAN CHECK DEPOSIT 0 NOR LIMIT IN ANYWAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' OE07T TOTAL AMOUNT DUE I HEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT� AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF T THE OWNER. f AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC EMPLOY 0 ' CALL ul,: -d F... .. p.,d, .�d ndoopd TION,ANDIND ING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE 0 OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION *,,,pt 9 m sPa" 01111dad. IN LAT ON OF THE LABOR CODE VIC 1 WORKMEN'S COMPENSATION INSURANCE AND RCW ISZ7. OFFICIALS SIGNATURE DATE E SIGNED (425) SIGNATURELN 1AGE1 771-0220 RELEA By DATE ATTENT16N EXT 333 R STRUCTURE UNTIL IT IS UNLAWFULTO USE OR OCCUPY A BUILDING 0 A FINAL INSPECTION HAS BEEN ADE AN. APPROVAL OR A C98TIFl- ORIGINAL - FILE YELLOW � INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK � OWNER GOLD - ASSESSOR